CAROL LYNN BRADHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062885

License Status

NOT RENEWED

Business

First Name

CAROL LYNN

Last Name

BRADHAM

Business Name

CAROL LYNN BRADHAM

Original Issue Date

02/07/1975

Effective Date

02/07/1975

Expiration Date

01/01/1997

City

TEUTOPOLIS

State

Zip

62467

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/17/2005